rs121908120
Positions:
Variant summary
Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PP3PP5BP4BS1_Supporting
The NM_025216.3(WNT10A):c.682T>A(p.Phe228Ile) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0208 in 1,608,024 control chromosomes in the GnomAD database, including 449 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Genomes: 𝑓 0.014 ( 22 hom., cov: 32)
Exomes 𝑓: 0.021 ( 427 hom. )
Consequence
WNT10A
NM_025216.3 missense
NM_025216.3 missense
Scores
10
5
3
Clinical Significance
Conservation
PhyloP100: 7.94
Genes affected
WNT10A (HGNC:13829): (Wnt family member 10A) The WNT gene family consists of structurally related genes which encode secreted signaling proteins. These proteins have been implicated in oncogenesis and in several developmental processes, including regulation of cell fate and patterning during embryogenesis. This gene is a member of the WNT gene family. It is strongly expressed in the cell lines of promyelocytic leukemia and Burkitt's lymphoma. In addition, it and another family member, the WNT6 gene, are strongly coexpressed in colorectal cancer cell lines. The gene overexpression may play key roles in carcinogenesis through activation of the WNT-beta-catenin-TCF signaling pathway. This gene and the WNT6 gene are clustered in the chromosome 2q35 region. [provided by RefSeq, Jul 2008]
Genome browser will be placed here
ACMG classification
Classification made for transcript
Verdict is Uncertain_significance. Variant got 0 ACMG points.
PP3
Multiple lines of computational evidence support a deleterious effect 9: AlphaMissense, BayesDel_noAF, Cadd, Eigen, MutationAssessor, phyloP100way_vertebrate, PrimateAI, PROVEAN, REVEL [when BayesDel_addAF, max_spliceai, FATHMM_MKL, MetaRNN, MutationTaster was below the threshold]
PP5
Variant 2-218890289-T-A is Pathogenic according to our data. Variant chr2-218890289-T-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 4462.We mark this variant Likely_pathogenic, oryginal submissions are: {Pathogenic_low_penetrance=1, Likely_pathogenic=2, not_provided=3, Uncertain_significance=1, Pathogenic=15}. Variant chr2-218890289-T-A is described in Lovd as [Pathogenic]. Variant chr2-218890289-T-A is described in Lovd as [Likely_pathogenic]. Variant chr2-218890289-T-A is described in Lovd as [Pathogenic]. Variant chr2-218890289-T-A is described in Lovd as [Pathogenic].
BP4
Computational evidence support a benign effect (MetaRNN=0.013546854). . Strength limited to SUPPORTING due to the PP5.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.014 (2138/152210) while in subpopulation NFE AF= 0.0223 (1515/67990). AF 95% confidence interval is 0.0213. There are 22 homozygotes in gnomad4. There are 934 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
WNT10A | NM_025216.3 | c.682T>A | p.Phe228Ile | missense_variant | 3/4 | ENST00000258411.8 | NP_079492.2 | |
WNT10A | XM_011511929.3 | c.586T>A | p.Phe196Ile | missense_variant | 4/5 | XP_011510231.1 | ||
WNT10A | XM_011511930.2 | c.377-2485T>A | intron_variant | XP_011510232.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
WNT10A | ENST00000258411.8 | c.682T>A | p.Phe228Ile | missense_variant | 3/4 | 1 | NM_025216.3 | ENSP00000258411 | P1 | |
WNT10A | ENST00000458582.1 | c.264-2485T>A | intron_variant | 3 | ENSP00000388812 |
Frequencies
GnomAD3 genomes AF: 0.0141 AC: 2138AN: 152092Hom.: 22 Cov.: 32
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GnomAD3 exomes AF: 0.0139 AC: 3389AN: 243534Hom.: 41 AF XY: 0.0140 AC XY: 1852AN XY: 132646
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GnomAD4 exome AF: 0.0215 AC: 31289AN: 1455814Hom.: 427 Cov.: 32 AF XY: 0.0212 AC XY: 15348AN XY: 724498
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GnomAD4 genome AF: 0.0140 AC: 2138AN: 152210Hom.: 22 Cov.: 32 AF XY: 0.0125 AC XY: 934AN XY: 74438
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ClinVar
Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:23Uncertain:1Other:3
Revision: criteria provided, conflicting classifications
LINK: link
Submissions by phenotype
not provided Pathogenic:5
Likely pathogenic, no assertion criteria provided | clinical testing | Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center | - | - - |
Pathogenic, no assertion criteria provided | clinical testing | Molecular Genetics laboratory, Necker Hospital | Apr 15, 2021 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Illumina Laboratory Services, Illumina | Oct 07, 2022 | The WNT10A c.682T>A (p.Phe228Ile) missense variant results in the substitution of phenylalanine at amino acid position 228 with isoleucine. This variant is one of the most commonly reported WNT10A variants associated with hypodontia and ectodermal dysplasia. Across a selection of the available literature, the c.682T>A variant has been reported in a homozygous state in 12 unrelated affected individuals, in a compound heterozygous state in 11, and in a heterozygous state in six (PMID: 22581971; PMID: 28105635). It has also been shown to co-segregate with the phenotype with reduced penetrance in multiple families (PMID: 30426266). The highest frequency of this allele in the Genome Aggregation Database is 0.03482 in the Ashkenazi Jewish population (version 2.2.1). In the total population, it is reported in a homozygous state in 42 individuals. This frequency is high but consistent with the reduced penetrance demonstrated for the variant and the prevalence and variable expressivity of the disease. A case-control study of over 2000 individuals found the c.682T>A variant conferred a 3.25-fold increased risk for isolated tooth agenesis (95% CI: 2.74-3.85) (PMID: 29364747). This variant is located in the Wnt domain, in a region implicated in interactions with Frizzled and thus intracellular Wnt signaling (PMID: 28105635), and is predicted to affect protein function by computational algorithms. Based on the available evidence, the c.682T>A (p.Phe228Ile) variant is classified as pathogenic for WNT10A-related disorders. - |
Pathogenic, criteria provided, single submitter | clinical testing | CeGaT Center for Human Genetics Tuebingen | Aug 01, 2024 | WNT10A: PM3:Very Strong, PP1:Strong, PM2:Supporting, PP3 - |
Pathogenic, criteria provided, single submitter | clinical testing | GeneDx | Jul 27, 2020 | One of the most common pathogenic variants reported in this gene associated with semi-dominant ectodermal dysplasia with variable expressivity; Observed in the heterozygous state in individuals with isolated hypodontia or oligodontia, in individuals with other features of ectodermal dysplasia, and also in unaffected carriers (Bohring et al., 2009; Kantaputra et al., 2011; Cluzeau et al., 2011; van den Boogaard et al., 2012; Mostowska et al., 2013; Plaisancie et al., 2013; Tardieu et al., 2017); Case control studies suggest this variant is associated with hypodontia (van den Boogaard et al., 2012); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 21484994, 20301291, 23401279, 22581971, 24700731, 23167694, 24398796, 24123366, 25333069, 21228398, 24702986, 23991204, 25629078, 19559398, 28105635, 20979233, 27881089, 26049155, 25545742, 26087098, 28813618, 28976000, 29364747, 29364501, 29431110, 24449199, 21279306, 30046887, 30426266, 31798653, 32618450, 31618753, 33144682) - |
Tooth agenesis, selective, 4 Pathogenic:5
Likely pathogenic, criteria provided, single submitter | clinical testing | Undiagnosed Diseases Network, NIH | Mar 12, 2018 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | MGZ Medical Genetics Center | Jun 13, 2022 | - - |
Pathogenic, no assertion criteria provided | literature only | OMIM | Feb 01, 2014 | - - |
Likely pathogenic, criteria provided, single submitter | clinical testing | Genetics and Molecular Pathology, SA Pathology | May 12, 2021 | The WNT10A c.682T>A variant is classified as LIKELY PATHOGENIC (low penetrance) (PP3, PS3, PS4) The WNT10A c.682T>A variant is a single nucleotide change in exon 3 of the WNT10A gene, which is predicted to change the amino acid phenylalanine at position 228 in the protein to isoleucine. This variant has been reported in a heterozygous state in many individuals with isolated hypodontia or oligodontia, as well as in unaffected carriers and is therefore considered to be a pathogenic variant with low penetrance. Although the population frequency is high (approximately 1.37%), the incidence of this dental agenesis is significantly higher (approximately 6.75%) (PMID:25713620) (PS4). Large meta analysis shows 2.25 - 3.42 fold increased risk for isolated tooth agenesis (PMID:29364747) (PS3). This variant has conflicting reports of pathogenicity in ClinVar, although the majority of other diagnostic laboratories classify it as pathogenic (ClinVar Variation ID: 19501). This variant has been reported as damaging in HGMD (CM094237). Computational predictions support a deleterious effect on the gene or gene product (PP3). - |
Pathogenic, criteria provided, single submitter | clinical testing | DASA | Feb 14, 2022 | The c.682T>A;p.(Phe228Ile) missense variant has been observed in affected individual(s) (PMID: 30974434; 30426266; 29364747; 28976000; 28813618; 27881089; 24700731; 22581971; 21279306; 20979233; 21484994) - PS4.The p.(Phe228Ile) was detected in trans with a pathogenic variant (PMID: 30426266; 28976000; 28813618; 24700731; 22581971; 21279306; 20979233; 21484994) - PM3_strong. The variant co-segregated with disease in multiple affected family members (PMID: 30426266; 24700731; 21279306; 20979233; 21484994) - PP1_strong. Multiple lines of computational evidence support a deleterious effect on the gene or gene product - PP3 and allele frequency is greater than expected for disorder - BS1. In summary, the currently available evidence indicates that the variant is pathogenic. - |
Odonto-onycho-dermal dysplasia Pathogenic:3Uncertain:1
Pathogenic, no assertion criteria provided | literature only | OMIM | Feb 01, 2014 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Johns Hopkins Genomics, Johns Hopkins University | Apr 12, 2023 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Mendelics | May 27, 2022 | - - |
Uncertain significance, criteria provided, single submitter | clinical testing | Genome-Nilou Lab | Jun 10, 2021 | - - |
Odonto-onycho-dermal dysplasia;C1835492:Tooth agenesis, selective, 4;C1857069:SchC6pf-Schulz-Passarge syndrome Pathogenic:1Other:2
not provided, no classification provided | phenotyping only | GenomeConnect - Invitae Patient Insights Network | - | Variant interpreted as Pathogenic and reported on 01-00-1900 by Invitae. GenomeConnect-Invitae Patient Insights Network assertions are reported exactly as they appear on the patient-provided report from the testing laboratory. Registry team members make no attempt to reinterpret the clinical significance of the variant. Phenotypic details are available under supporting information. - |
not provided, no classification provided | phenotyping only | GenomeConnect - Brain Gene Registry | - | Variant classified as Pathogenic and reported on 02-18-2020 by GeneDx. Assertions are reported exactly as they appear on the patient provided laboratory report. GenomeConnect does not attempt to reinterpret the variant. The IDDRC-CTSA National Brain Gene Registry (BGR) is a study funded by the U.S. National Center for Advancing Translational Sciences (NCATS) and includes 13 Intellectual and Developmental Disability Research Center (IDDRC) institutions. The study is led by Principal Investigator Dr. Philip Payne from Washington University. The BGR is a data commons of gene variants paired with subject clinical information. This database helps scientists learn more about genetic changes and their impact on the brain and behavior. Participation in the Brain Gene Registry requires participation in GenomeConnect. More information about the Brain Gene Registry can be found on the study website - https://braingeneregistry.wustl.edu/. - |
Pathogenic, criteria provided, single submitter | clinical testing | New York Genome Center | Mar 22, 2023 | - - |
Hypohidrotic ectodermal dysplasia Pathogenic:2
Pathogenic, criteria provided, single submitter | clinical testing | Breda Genetics srl | Aug 29, 2016 | This variant has been identified in an individual with congenital alopecia, hypodontia, and hypohidrosis. In the family, inheritance was compatible with a dominant pattern. This nonsynonymous variant is reported with an estimated allele frequency of 0.014 in gnomAD exomes, 0.01215 in gnomAD genomes, and 0.019 in NHLI Exome Sequencing Project (ESP). The nucleotide position is conserved across 35 mammalian species (GERP RS: 4.46). In silico analysis indicates that the variant might be damaging (MutationTaster: disease-causing; FATHMM-MKL: damaging; Provean: damaging; DANN: 0.992). The p.Phe228Ile mutation represents the most common allele identified in cases with isolated hypodontia (PMIDs: 22581971, 24449199, 24700731). Reduced penetrance and variable expressivity have been reported in carriers of the p.Phe228Ile mutation. Nearly half of heterozygotes may display mild multifocal symptoms, such as variable abnormalities of skin, hair, teeth or nails (PMIDs: 19559398, 21279306). For instance, van den Boogaard et al. (PMID: 22581971) reported a p.Phe228Ile heterozygote presenting with hypodontia, alopecia, hypohidrosis and mild nail dysplasia. Autosomal dominant inheritance of isolated hypodontia-microdontia in p.Phe228Ile heterozygotes has been described also by Kantaputra and Sripathomsawat (PMID: 21484994). - |
Pathogenic, criteria provided, single submitter | clinical testing | Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine | Sep 12, 2023 | The p.Phe228Ile variant in WNT10A has been reported in over 50 individuals with clinical features of ectodermal dysplasia or isolated tooth agenesis (hypodontia) in the homozygous or compound heterozygous state. It has also been seen in the heterozygous state in individuals with tooth agenesis with or without some features of ectodermal dysplasia as well as in asymptomatic family members. This variant segregated with disease in at least 17 affected individuals from multiple families (Bohring 2009 PMID: 19559398, Kantaputra 2011 PMID: 21484994, van den Boogaard 2012 PMID: 22581971, Mostowska 2013 PMID: 23167694, Plaisancie 2013 PMID: 23401279, Arzoo 2013 PMID: 24449199, Mues 2014 PMID: 24700731). This variant has also been reported by other clinical laboratories in ClinVar (Variation ID 4462) and has been identified in 3.5% (120/3470) of Ashkenazi Jewish and 2.2% (1515/67998) of European chromosomes, including many homozygotes by gnomAD (http://gnomad.broadinstitute.org, v.3.1.2). However, studies have consistently found that it is in a significantly higher proportion of tooth agenesis cohorts than control cohorts (Bohring 2009 PMID: 19559398, Arzoo 2013 PMID: 24449199, Mues 2014 PMID: 24700731). In a large meta-analysis, this variant was associated with a 2.25-3.42-fold risk (95% CI: 1.39-4.10) for isolated tooth agenesis, the autosomal dominant condition associated with WNT10A (Jonsson 2018 PMID: 29364747). This variant is thought to have lower penetrance with variable expressivity, as heterozygotes for this variant were either asymptomatic or had hypodontia and/or mild clinical features of ectodermal dysplasia (Bohring 2009 PMID: 19559398). Computational prediction tools and conservation analyses suggest that this variant may impact the protein. In summary, this variant meets criteria to be classified as pathogenic for clinical features of ectodermal dysplasia, ranging from isolated tooth agenesis with or without other clinical features in the heterozygous state to a classic ectodermal dysplasia phenotype in the homozygous or compound heterozygous state. However, this variant is associated with a lower penetrant disease compared to other pathogenic variants in the WNT10A gene. ACMG/AMP Criteria applied: PM3_VeryStrong, PP1_Strong, PP3. - |
Ectodermal dysplasia Pathogenic:1Other:1
Pathogenic, criteria provided, single submitter | research | Division of Human Genetics, National Health Laboratory Service/University of the Witwatersrand | Jul 01, 2023 | - - |
not provided, no classification provided | literature only | GeneReviews | - | - - |
Inborn genetic diseases Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Ambry Genetics | Apr 25, 2024 | The c.682T>A (p.F228I) alteration is located in coding exon 3 of the WNT10A gene. This alteration results from a T to A substitution at nucleotide position 682, causing the phenylalanine (F) at amino acid position 228 to be replaced by an isoleucine (I). Based on data from gnomAD, the A allele has an overall frequency of 1.372% (3770/274884) total alleles studied. The highest observed frequency was 3.482% (359/10310) of Ashkenazi Jewish alleles. The p.F228I alteration is often associated with a severe ectodermal dysplasia phenotype when occurring in the homozygous or compound heterozygous state with other pathogenic alterations (Bohring, 2009; Plaisancié, 2013; Reuter, 2018; Guazzarotti, 2018; Ruiz-Heiland, 2019). A genome-wide association study (GWAS) found a significant association between this alteration and tooth agenesis (p-value=5.2 x 10-6; odds ratio for heteterozygotes = 3.0; odds ratio for homozygotes = 51.3; Jonsson, 2018). Individuals who are heterozygous for the p.F228I alteration may have a mild phenotype including dental anomalies and palmar/plantar hyperkeratosis, though penetrance is incomplete and expression is variable (Bohring, 2009; Guazzarotti, 2018; Ruiz-Heiland, 2019). This amino acid position is highly conserved in available vertebrate species. This alteration is predicted to be deleterious by in silico analysis. Based on the available evidence, this alteration is classified as pathogenic. - |
Tooth agenesis Pathogenic:1
Pathogenic, no assertion criteria provided | literature only | Yale Center for Mendelian Genomics, Yale University | Sep 15, 2014 | - - |
See cases Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Institute of Human Genetics, University Hospital Muenster | Jan 17, 2017 | ACMG categories: PS4,PS5,PP3,PP4,PP5 - |
WNT10A-related disorder Pathogenic:1
Pathogenic, no assertion criteria provided | clinical testing | PreventionGenetics, part of Exact Sciences | Aug 23, 2024 | The WNT10A c.682T>A variant is predicted to result in the amino acid substitution p.Phe228Ile. This variant has been reported in the heterozygous and compound heterozygous states as the most common variant found in patients affected with taurodontism, non-syndromic missing teeth, or mild ectodermal dysplasia (Vink et al. 2014. PubMed ID: 24398796; Yang et al. 2015. PubMed ID: 25629078; Arzoo et al. 2014. PubMed ID: 24449199; Bergendal et al. 2016. PubMed ID: 27881089; Guazzarotti et al. 2018. PubMed ID: 28976000). However, this variant was also observed in a genomic variant database with minor allele frequencies ranging from 0% to ~3.5%, with >40 homozygotes listed. Incomplete penetrance has been documented for this variant (Yang et al. 2015. PubMed ID: 25629078). Based on this evidence, this variant is interpreted as pathogenic. - |
Odonto-onycho-dermal dysplasia;C1835492:Tooth agenesis, selective, 4 Pathogenic:1
Pathogenic, low penetrance, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Jan 31, 2024 | This sequence change replaces phenylalanine, which is neutral and non-polar, with isoleucine, which is neutral and non-polar, at codon 228 of the WNT10A protein (p.Phe228Ile). This variant is present in population databases (rs121908120, gnomAD 3%), including at least one homozygous and/or hemizygous individual. This variant has been observed in many individuals with autosomal recessive forms of ectodermal dysplasia (PMID: 19559398, 28976000, 30974434, Invitae). It has been found in trans (on the opposite chromosome) from many different pathogenic variants. Based on an internal analysis, this variant is associated with reduced penetrance for autosomal recessive disease (15% when in homozygosity and 30-60% when present with another pathogenic variant) compared to other pathogenic or likely pathogenic variants, which have a penetrance of 70-80% (Invitae). In addition, in a large meta-analysis, this variant conferred a 2.25-3.42-fold increased risk (95% CI: 1.39-4.10) for isolated tooth agenesis, the autosomal dominant condition associated with WNT10A (PMID: 29364747). ClinVar contains an entry for this variant (Variation ID: 4462). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt WNT10A protein function with a positive predictive value of 80%. In summary, this variant is reported to cause disease. However, because this variant is associated with a lower penetrance form of disease than other pathogenic alleles in the WNT10A gene, and because it is found in homozygosity in healthy individuals, it has been classified as Pathogenic (low penetrance). - |
Tooth agenesis, selective, 4;C1857069:SchC6pf-Schulz-Passarge syndrome Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Greenwood Genetic Center Diagnostic Laboratories, Greenwood Genetic Center | Aug 27, 2021 | PM3_Strong, PP1, PP3 - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
BayesDel_addAF
Benign
T
BayesDel_noAF
Pathogenic
CADD
Pathogenic
DANN
Uncertain
DEOGEN2
Pathogenic
D
Eigen
Pathogenic
Eigen_PC
Pathogenic
FATHMM_MKL
Pathogenic
D
LIST_S2
Uncertain
D
MetaRNN
Benign
T
MetaSVM
Uncertain
D
MutationAssessor
Pathogenic
M
MutationTaster
Benign
A
PrimateAI
Pathogenic
T
PROVEAN
Pathogenic
D
REVEL
Pathogenic
Sift
Uncertain
D
Sift4G
Uncertain
D
Polyphen
D
Vest4
MPC
ClinPred
T
GERP RS
Varity_R
gMVP
Splicing
Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at